Feasibility and acceptability of using a web-based contraceptive support tool in a university health clinic

Abstract

Objective: To evaluate feasibility of integrating Bedsider.org, a web-based contraceptive decision support tool, at a university health clinic (UHC). Participants: Female students (ages 18–29) seeking contraceptive care at the UHC were enrolled in September 2015 (n = 46). Methods: Providers recruited eligible patients during reproductive healthcare visits and introduced Bedsider. Surveys were administered immediately following the visit and a follow-up 2–4 weeks later. Electronic health records through 6 weeks post-enrollment were extracted. Results: Most patients had positive views toward Bedsider and appreciated receiving information during their UHC encounters. None were using long-acting reversible contraceptives (LARC) at enrollment. At follow-up, two patients self-reported IUD use. Among those recently sexually active, use of more effective contraceptive methods increased from 65% to 74%; 11% had initiated or were scheduled to receive a LARC. Conclusion: Bedsider can be feasibly integrated into UHC visits and may support women’s selection of more effective contraceptive methods, including LARCs.

Keywords:

• Bedsider
• college
• contraception
• counseling
• internet
• sex education

Acknowledgments

The authors thank the following individuals for their assistance with study administration—Angela Hicks, Rebecca Lipski, Claire Raible, Laura Yantz, and Heather Anderson.

Conflict of interest disclosure

Co-author, Melanie A. Gold, has two conflicts to disclose. Afaxys, Inc.—Clinical Advisory board and Bayer—Regional IUD Expansion Advisory Board.

Additional information

Funding

This research was supported by a grant from the National Association of Nurse Practitioners in Women’s Health (NPWH). The content is solely the responsibility of the authors and does not necessarily represent the views of Bedsider or NPWH.